Presentation
Incontinence and incomplete defecation
Patient Data
Age: 45 years
Gender: Male
From the case:
Male anterior rectocoele
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Preliminary images are unremarkable.
The fluoroscopic images taken upon bearing up and bearing down demonstrate:
- appropriate elevation in the anorectal angle on bearing up
- appropriate descent of the pelvic floor and anorectal junction on bearing down
The fluoroscopic images taken upon defecating demonstrate:
- small protrusion of the anterior rectal wall (anterior rectocoele)
- no prolapse or intussusception
The rectum emptied well with contrast seen only in the sigmoid colon and rectum on the post evacuation images.
Case Discussion
Defecating proctography demonstrates a small, non-obstructing anterior rectocoele in a male.
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